Twitch Dry Needling Video Clip. Episode 23: Dry needling & the quadratus plantae

This video describes how I apply dry needling for patients with ankle sprain ! Then follow up with a great manual therapy technique to get great results for your patients every time.

Transcript

Hi. Welcome to the Twitch Dry Needling video training series where I’ll show you a fantastic dry needling technique followed by a manual therapy technique to get great results for your patients every time.

These Dry Needling Techniques should only be applied by trained therapists who have completed an accredited course.

Okay, what do you do with somebody who’s got an ankle sprain and recovering from that foot pain, heel pain, even calf pain? A muscle that I really want you to have a look at is QP. QP, otherwise known as flexor accessorius, on the bottom of the foot plantar surface attaches to FDL, flexor digitorum longus, and can limit dorsi flexion so it’s really important to have a look at that muscle in terms of dry needling for any types of injuries just like those.

So let’s have a look at QP. Needling to that muscle is very straightforward and very effective at getting great results in not only local pain around the plantar fascia but also heel pain and of course limited dorsi flexion.

So as a follow-up manual technique what you can do is place the knee in this position here, we’ve got this amount of dorsi flexion available on the tibiotalar joint. We can articulate using this applicator here on the shin with your right hand like this, holding back here on the talus and we are articulating into an A-P direction like this. And as we get more and more movement through that joint in this range this can be moved into more and more knee flexion which is going to cause more and more dorsi flexion. And we to go into more A-P glide just like this. As you can see, if we take it all the way up to here we got more and more dorsi flexion. So at this point here we’ve got a fair amount of movement in that dorsi flexion motion at the tibiotalar joint and A-P glide, great motion in here, and that’s a great follow-up technique once you’ve needled QP on the sole of the foot. Hope that helps.

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